Felson B, Akers P V, Hall G S, Schreiber J T, Greene R E, Pedrosa C S
JAMA. 1977 Mar 14;237(11):1104-8.
Tuberculous mycotic aneurysm has been reported with surprising frequency, especially in the aorta. Because the diagnosis can often be made on clinical and roentgenologic grounds, and because of the very poor prognosis if untreated and surgical curability if recognized, experience with three cases is reported. The aneurysm is generally of the false variety, representing a walled-off perforation of the aorta. Contiguous tuberculosis in the form of lymphadenitis or Pott abscess is generally responsible for the aortic involvement that results in the aneurysm. Miliary tuberculosis, which is often present, is probably a result rather than the cause.
结核性霉菌性动脉瘤的报道频率令人惊讶，尤其是在主动脉。由于通常可根据临床和放射学依据做出诊断，且未经治疗预后极差而确诊后手术可治愈，现报告三例经验。动脉瘤一般为假性，代表主动脉的局限性穿孔。以淋巴结炎或波特氏脓肿形式存在的相邻结核通常是导致动脉瘤的主动脉受累的原因。常出现的粟粒性结核可能是结果而非原因。
